Radiologic features compared to clinical findings in a prospective study of 153 patients with metastatic spinal cord compression treated by radiotherapy |
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Authors: | S Helweg-Larsen A Johnsen J Boesen P S Sørensen |
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Institution: | (1) Department of Neuroradiology, Rigshospitalet, Copenhagen, Denmark;(2) Department of Neurology, Rigshospitalet, Blegdamsvej 9, DK-2100 Copenhagen, Denmark |
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Abstract: | Summary Plain radiography, myelography and post-myelographic CT-scan are described and related to clinical findings in a prospective
study of 153 consecutive patients with myelographic signs of spinal cord compression. The majority of the metastatic tumours
arise in the vertebral body or the pedicles. In 80% of the patients with total blockage to the contrast medium on myelography
the post-myelographic-CT showed passage of the contrast medium. Ambulatory function at time of diagnosis was correlated to
the degree and the localization of the epidural block. In 64 patients who underwent a second myelography, the post-treatment
findings of sensory function were correlated to radiological regression. |
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Keywords: | Metastatic spinal cord compression radiological findings |
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